<!doctype html>
<html>
<head>
<title>增加</title>
    <?php $this->load->module('admin/index/page_header');?>
</head>
<body>
<div class="wrap">
	<div id="home_toptip"></div>
	<div class="nav">
        <ul>
            <li><a href="<?php echo $index_url;?>">列表</a></li> 
            <li class="current"><a href="javascript:void(0)">添加</a></li>    
        </ul>
    </div>
    <div class="table_full">
	    <form method="post" class="formvalidate" action="<?php echo $form_post;?>" name="frm">
			<div class="table_full">
				<table class="tab_label" width="100%" id="jiben_config">
					<col class="th" />
	                <col/>
		            <tbody>
		                <tr>
		                	<th>类型</th>
		                	<td>
		                		<select name="Form[sort]" style="width:150px;">
		                			<option value="1">票务</option>
		                			<option value="2">保险</option>
		                			<option value="3">地接</option>
		                			<option value="4">领馆</option>
		                			<option value="5">领队</option>
		                			<option value="6">导游</option>
		                			<option value="7">购物</option>
		                			<option value="8">餐馆</option>
		                			<option value="9">酒店</option>
		                			<option value="10">景区</option>
		                			<option value="11">车辆</option>
		                			<option value="12">其他</option>
		                		</select>
		                	</td>
		                </tr>
		                <tr>
		                    <th><span class="spanMsg">*</span>名称：</th>
		                    <td><input type="text" value="" name="Form[name]" class="input rounded" size="60" validate="{required:true,remote:'<?php echo $check_name;?>'}"/></td>
		                </tr>
		                <tr>
		                    <th>联系人：</th>
		                    <td><input type="text" value="" name="Form[link_name]" class="input rounded" />(导游，领队可不填)</td>
		                </tr>
		                <tr>
		                    <th>手机：</th>
		                    <td><input type="text" value="" name="Form[mobile]" class="input rounded" /></td>
		                </tr>
		                <tr>
		                    <th>电话：</th>
		                    <td><input type="text" value="" name="Form[tel]" class="input rounded" /></td>
		                </tr>
		                <tr>
		                    <th>传真：</th>
		                    <td><input type="text" value="" name="Form[fax]" class="input rounded" /></td>
		                </tr>
		                <tr>
		                    <th>email：</th>
		                    <td><input type="text" value="" name="Form[email]" class="input rounded" /></td>
		                </tr>
		                <tr>
		                	<th>交易方式：</th>
		                	<td><input type="radio" name="pay_type" value="1" checked>现金&nbsp;
		                	    <input type="radio" name="pay_type" value="2">签单&nbsp;
		                	    <input type="radio" name="pay_type" value="3">支票&nbsp;
		                	    <input type="radio" name="pay_type" value="4">汇款&nbsp;</td>
		                </tr>
		                <tr>
		                	<th>开户行：</th>
		                    <td><input type="text" value="" name="Form[bank]" class="input rounded" /></td>
		                </tr>
		                <tr>
		                	<th>账号：</th>
		                    <td><input type="text" value="" name="Form[bank_account]" class="input rounded" /></td>
		                </tr>
		                <tr>
		                    <th>简介：</th>
		                    <td><textarea name="Form[remark]" rows="60" cols="130"></textarea></td>
		                </tr>
		            </tbody>
	        </table>  
			</div>
			<div class="btn_wrap">
		        <div class="btn_wrap_pd">
		            <input type="hidden" name="id" value="0" />
		            <button type="submit" class="btn btn_submit J_ajax_submit_btn">提交</button>
		        </div>
	        </div>
	    </form>
    </div>
</div>
</body>
</html>